Systematic review and meta-analysis of the treatment strategies for coronary artery bypass graft patients with concomitant carotid artery atherosclerotic disease

Carotid endarterectomy for the management of carotid stenosis occurring concurrently with head and neck cancer

“…They found similar rates of perioperative stroke between study groups (combined approach resulted in a 30-day stroke rate of 4.6%); increased myocardial infarction in the staged cohort was the only difference noted in postoperative outcomes [31 ▪ ]. Although other recent studies have found more mixed results regarding optimal sequencing of CEA and CABG, simultaneous surgery is considered an acceptable approach for patients who are good surgical candidates with significant stenosis, with Society for Vascular Surgery guidelines allowing for either concomitant CEA and CABG or CEA prior to CABG in asymptomatic patients with >70% and symptomatic patients with >50% stenosis [22 ▪ ,32,33 ▪ ].…”

Carotid Interventions in Patients Undergoing Coronary Artery Bypass Grafting: A Narrative Review

“…A recent meta-analysis by Tsukagoshi et al evaluated outcomes between different strategies of carotid and coronary artery revascularization compared with CABG alone. No statistically significant differences were found between the two groups in either perioperative stroke or perioperative mortality [ 38 ].…”

“…According to a recent meta-analysis by Tsukagoshi et al outcomes regarding perioperative stroke after “standard” staged procedure (CEA followed by CABG) are significantly better if compared to reverse staged procedures (CABG and then CEA), with an OR of 0.41 [95 CI 0.23–0.74; p = 0.003]. No significant differences with other strategies were found for perioperative mortality/myocardial infarction (MI) and bleeding complications [ 38 ].…”